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General NPI Number Information
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NPI Number | 1245628122
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Entity Type | Organization
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Legal Business Name | WASHINGTON DENTAL CORPORATION
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 25248 PACIFIC HWY S SUITE 105
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City | KENT
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State | WA
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Zip | 98032
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Country | US
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Telephone | 253-946-5766
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Fax | 253-946-5771
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Provider Business Mailing Address
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Address Line | 17000 RED HILL AVE
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City | IRVINE
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State | CA
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Zip | 92614-5626
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Country | US
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Telephone | 714-845-8890
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Fax | 949-474-1495
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM J MCGLASHAN
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Credential | DDS
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Telephone | 253-946-5766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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